Recent progress in developing ATR inhibitors as anticancer agents

Shaohua Hou1, Yu Sun1, Lingyun Zhou1

  • 1School of Pharmacy, Wannan Medical College, Wuhu 241002 Anhui, PR China.

Biochemical Pharmacology
|November 9, 2025
PubMed

Insights

The ataxia telangiectasia mutated and Rad3-related (ATR) kinase is vital for genome stability and cancer treatment. This review details ATR inhibitors, their design, and clinical progress for enhanced cancer therapies.

Area of Science:

  • Molecular Biology
  • Genetics
  • Pharmacology

Background:

  • DNA damage response (DDR) pathways are essential for maintaining genome stability.
  • The ataxia telangiectasia mutated and Rad3-related (ATR) kinase is a key regulator of DDR, responding to DNA damage and replication stress.
  • ATR plays a critical role in cell cycle checkpoint control, initiating DNA repair processes.

Purpose of the Study:

  • To review current ATR inhibitors and their structural optimization strategies.
  • To analyze structure-activity relationships, biological activity, binding modes, and pharmacokinetic properties of ATR inhibitors.
  • To discuss recent clinical advancements and future challenges in ATR inhibitor development for cancer treatment.

Main Methods:

  • Literature review of published ATR inhibitors.
  • Analysis of structure-activity relationships (SAR) and ligand binding modes.
  • Evaluation of biological activity, pharmacokinetic properties, and clinical trial data.

Main Results:

  • Numerous ATR inhibitors have been developed, showing potent antitumor effects alone and synergistically with other therapies.
  • Structural optimization has led to improved potency and selectivity.
  • Clinical evaluation of specific ATR inhibitors is ongoing, with promising preliminary results.

Conclusions:

  • ATR inhibitors represent a promising therapeutic strategy for cancer treatment.
  • Understanding SAR and PK properties is crucial for designing next-generation ATR inhibitors.
  • Further clinical research is needed to overcome challenges and optimize the use of ATR inhibitors in oncology.

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